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Home My WebLink AboutPermit Signage 2014-09-11A' 0L V 225 FIFTH STREET • SPRINGFIELD, OR 97477 • PH:(541)726-3753 • FAX: (541)726-3689 City Job Number S/ Lf '(2) Z U C/ 0 Site Address: 1811 Pioneer Or Assessors Map 1 7e !/ z : Tax Lot: n Z 1-( U' Owner: Derek Christensen7w/✓�"L`h't— ST.A-r/a,V LLL Phone: 541-228-8097 Address: 5 '' IIM& rv4- � I"d' � " \ YL t-1 City Cc"�c-i" 'A"t/-r_ State Grp Zip Business Name, Firm, etc. Dizzy Dean's Donuts Description of Proposed Sign(s): (Please check and complete all appropriate information) X Wall x Single Face Square Footage: 16.5 Freestanding Projecting Roof Marquee Double Face Billboard Other Total Height above Grade: 15' Vertical Dimension of Sign or Enclosure:2' 9" Dimension from Grade to Bottom of Sign Enclosure 12'3" Horizontal Width of Sign or Enclosure: 8, Electrical Installation: x Yes —No (If yes additional electrical permit required) Material Sign is Constructed of: acrylic and Aluminum Value of Sign: $2700 List ALL existing signage and attach a photograph of each sign: (a) Type Sq. Fig. (b) Type Sq. Ftg. (c) 'type Sq. Fig. (d) Type Sq. Fig. i Conhactor/f a stat ler: ES & A Sign and Awning Phone: 541-485-5546 ez1308 Address: 89975 Prairie rd City: Eugene, Ore 97405 State: OR Zip: 97402 Construction Conhactols Registration Number: 163470 Expires: 3/16/15 01-FICE USG Sign District: C—r—Zoning: C_ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I !,. further certify that only contractus and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the installation of the sign(s). Signature Date Slmcd "VSiSlPeniii�ill dw 1 I 1 1,11 225 FIFTI I STREET • SPRINGFIELD, OR 97477 e PH:(541)726-3753 • FAX: (541)726-3689 City Job Number j ra ?-a LI 0 Site Address: 1811 Pioneer Or s;1�. 0 Assessors Map , / V Tax Lot: C) Z L ( 0 Owner: Derek Christensen a,.r /G-�niy� �Yv� o-�- Address: L L 'Phone: 541-228-8097 •n Lr � 1. Z City l�- �i State Zip � � Business Name, Firm, etc. Dizzy Dean's Donuts Description of Proposed Sign(s): (Please check and complete all appropriate information) X Wall x Single Face Square Footage: 16.5 Freestanding Projecting Double Face Billboard Total Height above Grade: 15' Roof Marquee Other Vertical Dimension of Sign or Enclosure: 2'9" Horizontal W idth of Signor Enclosure: 6' Dimension from Grade to Bottom of Sign Enclosure 12'3" Electrical Installation: X Yes —No (If yes additional electrical permit required) ` Material Sign is Constructed of: acrylic and Aluminum Value of Sign: $2700 S List ALL existing signage and attach a photograph of each sign: (a) Type Sq. Fig. (b) Type Sq. Fig. (c) Type Sq. Fig. (d) Type Sq. Fig. Contractor/Installer: ES & A Sign and Awning Phone: 547-4855546 ext 306 01 Address: 89975 Prairie rd City: Eugene, Ore 97405 State: OR Zip: 97402 Construction Contractors Registration Number: 163470 Expires: 3/16115 Sign District: OrriCE, use CG— Zoning: C C_ By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information herein is trueand correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Stale of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper lime, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times (luring the installati 7 f the sign(s). Signatur Date — t b Electrical Permit Application r.e '�b [' ,„ PRlttahlLi t) .._„- s .. 225Fifth 5lrcci0SpriuKfield,Olt 971']70PII(51g726-37530(3\\(611 )726-J6t49,pnr'.6oN DEPARTMENT USE ONLY L( This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if wort is not started within 180 days of issuance or if wort: is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? ❑ Yes ❑ No --,-- CA'TEGORY OF CONSTRUCTION_ ❑ Residentinl ❑ Government Qconuuercial JOB SITE INFORMATION AND —LOCATION Job site address: 1811 Pioneer Parkway city: Springfield I State:or I zfP: ?S` 77 Reference: 176 61 Z 3 LTIX101.0 Z�b/ DESCRIPTION OF WORK install two new wall signs PROPERTY OWNER Name: L $ly4-n&1/ I -L[_ - Address: ,1 s7—b7 C 12— city:C/�ncr.+✓d _ �(ZIP_L,SLIl1 Phone: - res: - 11rPs Pill soon is boing made an resldeniial or I petty owned by me o .the rat of lily imu u an�ulysa. This property is not intended fon +ange, lease, of rent. OAR ,179510(1)and4 a . .sttire: CONTRACTOR INSTALLATION Business name: ES & A Sign and Awning Address: 89975 PRAIRIE ROAD City; Eugene State:OR ZIP: 97402 Phone: 541485-5546 Fax: 541485-5813 E-mail: CCB license no.: 163470 BCD license no.; 20-543 CLS Signing supervisor's license no.: 514 SIG Print name of signing supervisor: GO[ Ro burro Signanne of signing supervisor: .1 10-2591-J (U0120INCOM) L ME SCHEDULE _ Number of inspections per item I i O h'. Q. Cost Total cost -ea_ Residentinl, per unit, service included: 1,000 sq. Il, or less (4) _-- — $147.60 S__._ Each additional 500 sq. 11. or portion thereof $ 27.60 $ Limited energy (2) - $ 35.00 $ Each manufaconed [ionic or modular dwelling service or feeder (2) $ (39.00 $ Services 01, feeders: installation, alleraliou. relocation 200 amps or less (2) $ 80.00 201 to 400 imps (2) $ 904.50 $ 401 to 600 amps (2) $974.00 $' - 601 to 1,000 amps(2) $226.50 $ Over 1,000 amps or volts (2) $51(3,00 $ Reconnect only (2) Temporary services 01 feeders: lastallolion, alteration, relocalion _ 200 amps or less (2) _ $ 60.00 $ 201 to 400 imps (2) $ 96.00 $ 401 to 600 amps (2) $138.60 $ -- Over 600 amps or 1,000 vohs, see services or teedens section above Branch circuits: +nevc ulleraaimt, eMension par panel a Tae for bunch circuits tvirh pm-obo,” of I service or iccdcr fee: Each branch circuit$ ul) b. Fee for branch Circuits scilhout purchase ol'a suvice or feeder Rue: f isl branch circuit (2) $ (30.60 $ tach addition al br mch.clrcuii $ G60 $ i\lisceliauwmts 1'0es: service a'feeder not included Each pump or iiiigation circle (2) $ 69.00 S Each sign or outline fighting (2) 2 $ $� Signal circuit or a lifmlted-energy panel, alteralion, or extension (2) $ 00.00 $ Encb additional inspection: (1) $80.00 APPLICANT USE _ (A) Enter subtoml of above fees (Minhtmm Permit ree $80.00) (B) linter 1290 surcharge (.12 s [A]) (C) Technology ree (fj%of JAI) TOTAL fees and surcharges (A fluongh C): $ // % $ $